Individual provider Active NPI

James Gary Grant, MD

  • Internal Medicine Physician
  • Pacific Grove, CA
National Provider Identifier
1578665535
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G38783 Issued in CA
Practice address
830 Bayview Ave
Pacific Grove, CA 93950-2511
Phone
(831) 373-2322
Fax
(831) 373-5210
NPI assigned
Sep 1, 2006
Last updated
Dec 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G38783 CA Primary

Addresses

Primary practice location

830 Bayview Ave
Pacific Grove, CA 93950-2511

Mailing address

830 Bayview Ave
Pacific Grove, CA 93950-2511
Phone (831) 373-2322

Other identifiers 1

IdentifierTypeStateIssuer
00G387830MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061019000188 CA Practitioner - Internal Medicine 9830195635 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38783CAMDDentist
G38783CAMDInternal Medicine Physician
G38730CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital of the Monterey Peninsula CurrentSince Dec 3, 2002 Accepting new patients
Community Hospital of the Monterey Peninsula CurrentSince Dec 3, 2002 Accepting new patients
Monterey Hospitalist Medical Group Internal Medicine Past Accepting new patients

Locations

23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1578665535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 BAYVIEW AVE",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939502511",
            "telephone_number": "831-373-2322",
            "fax_number": "831-373-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 BAYVIEW AVE",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939502511",
            "telephone_number": "831-373-2322",
            "fax_number": "831-373-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "JAMES",
        "middle_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G38783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G387830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacific Grove, CA

Sources for this page

Verify at the official NPI Registry.